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Case summary
The 54 years old sales man named krishna
salian,O.P.No:254621,I.P.No:95931 Admmitted on:3/11/14
Discharged on:10/11/14
no H/o Dm and HTN was working in dubai 2 year before his
relatives observed that he began to have trouble in
remembering names and objects of recent incidences they
didn’t considerd as serious,one year back he came to mumbai
he stayed with his wife he was continuing his job as sales man
wife and son observed difficulty in recalling names words ,he
takes time to react the answer he became quiter and socially
with withdrawn,he lost 5 to 6 kg wt so they consulted near by
hospital and underwet CT brain and diagnosed as the case of
fronto-temoporal dementia. For these complaints he consulted a
neurologist took treatment 2 months before .he didn’t find any
improvement for that he admitted in Sdm ayurveda hospital.
Medicines taken by the patient
during the time of addmission
Investigation carried by the
patient at the time of addmission
1)Methyhex 1-0-0
2)Admenta 1-0-0
3)Mempel 0-0-1
Vitamin B12 211—911pg/ml
VRDL Non reactive
HIV negative
25 Hydroxy vit-D 64ng/ml
CRP LEVEL 8.7 mg/L
Complaints of patient at the time of admission
in this hospital
c/o forgetfullness of recent incidences
c/o difficulty in finding name objects
c/o weight loss and tiredness
Observation and clinical examination
RS: NVBS no added sounds
CVS: S1,S2 heard no added sounds
CNS:muscle bulk :reduced
Muscle tone: normotonic
Reflexes:
Steriognosis
Graphesthesia
Twopoint discrimination
normal
Mental status examination at the time of admission
a)Attention :alterd, bcz difficulty giving a history
of his problems and responding to the questions
asked
b)memory: difficulty to repeat the names ,forgets
what he did at morning eg breakfast, taking bath
or not etc
c)orientation: not alterd,he knows he is having the
problem of forgetfulness,he knows he came for
treatment ,place ,time ,personal identity not
altered
d)perceptions: responds to the external stimuli
e)mood: depressed and weakness always lies on the
bed
f)language: affectted,some times he forgets the
proper words to be used
date Shamana chikitssa Pachakarmachikitsa Daily observation
03/11/14 BVC gold 1-0-0
Saraswatharista
(kottakkal) 15ml -0-15ml
SMSR ½-0-1/2
1.Taila dara
2.Nasya karma with brahmi shritha
3ml to each nostril followed by
dhoomapana ,k.B taila abyanga to face
Patient couldn’t remember
the breakfast what he had
morning,how he came here
04/11/14 ,, ,, no other fresh complaints
05/11/14 ,, ,, no fresh complaints
06/11/14 ‘’’’ ,, no fresh complaINTS
07/11/14 ,, ,,,, night he tried to tell who all
person who came to see out
of 5 2 names he rememberd
08/11/14 He rememberd 4 persons
name ,wat he had morning
he told
09/11/14 he tried to tell the history of
illness ..his job and wife job
where she is working
presently
10/11/14 0ut of 5 names he
rememberd 4 names,
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  • 1. Case summary The 54 years old sales man named krishna salian,O.P.No:254621,I.P.No:95931 Admmitted on:3/11/14 Discharged on:10/11/14 no H/o Dm and HTN was working in dubai 2 year before his relatives observed that he began to have trouble in remembering names and objects of recent incidences they didn’t considerd as serious,one year back he came to mumbai he stayed with his wife he was continuing his job as sales man wife and son observed difficulty in recalling names words ,he takes time to react the answer he became quiter and socially with withdrawn,he lost 5 to 6 kg wt so they consulted near by hospital and underwet CT brain and diagnosed as the case of fronto-temoporal dementia. For these complaints he consulted a neurologist took treatment 2 months before .he didn’t find any improvement for that he admitted in Sdm ayurveda hospital.
  • 2. Medicines taken by the patient during the time of addmission Investigation carried by the patient at the time of addmission 1)Methyhex 1-0-0 2)Admenta 1-0-0 3)Mempel 0-0-1 Vitamin B12 211—911pg/ml VRDL Non reactive HIV negative 25 Hydroxy vit-D 64ng/ml CRP LEVEL 8.7 mg/L
  • 3. Complaints of patient at the time of admission in this hospital c/o forgetfullness of recent incidences c/o difficulty in finding name objects c/o weight loss and tiredness Observation and clinical examination RS: NVBS no added sounds CVS: S1,S2 heard no added sounds CNS:muscle bulk :reduced Muscle tone: normotonic Reflexes: Steriognosis Graphesthesia Twopoint discrimination normal
  • 4. Mental status examination at the time of admission a)Attention :alterd, bcz difficulty giving a history of his problems and responding to the questions asked b)memory: difficulty to repeat the names ,forgets what he did at morning eg breakfast, taking bath or not etc c)orientation: not alterd,he knows he is having the problem of forgetfulness,he knows he came for treatment ,place ,time ,personal identity not altered d)perceptions: responds to the external stimuli e)mood: depressed and weakness always lies on the bed f)language: affectted,some times he forgets the proper words to be used
  • 5. date Shamana chikitssa Pachakarmachikitsa Daily observation 03/11/14 BVC gold 1-0-0 Saraswatharista (kottakkal) 15ml -0-15ml SMSR ½-0-1/2 1.Taila dara 2.Nasya karma with brahmi shritha 3ml to each nostril followed by dhoomapana ,k.B taila abyanga to face Patient couldn’t remember the breakfast what he had morning,how he came here 04/11/14 ,, ,, no other fresh complaints 05/11/14 ,, ,, no fresh complaints 06/11/14 ‘’’’ ,, no fresh complaINTS 07/11/14 ,, ,,,, night he tried to tell who all person who came to see out of 5 2 names he rememberd 08/11/14 He rememberd 4 persons name ,wat he had morning he told 09/11/14 he tried to tell the history of illness ..his job and wife job where she is working presently 10/11/14 0ut of 5 names he rememberd 4 names,